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Virginia rates for HCPCS A4673

Extension line with easy lock connectors, used with dialysis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.51 / $9.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.47 / $22.47 / $22.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $9.00 / $10.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $8.25
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $4,071.00